| NPI | 1710199922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 60126765) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30557) |
| 111N00000X Chiropractor (Licence: ID DCA-2277) | |
| 111N00000X Chiropractor (Licence: VI 096C) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-01-31 |